Individual
MS. TAMEISHA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CHEVY CHASE DR, BELLEVILLE, IL 62223-4125
(618) 954-2426
Mailing address
400 CHEVY CHASE DR, BELLEVILLE, IL 62223-4125
(618) 954-2426
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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